MDCalc

EVendo Score for Esophageal Varices

Predicts presence and size of esophageal varices before screening endoscopy.

Use in patients >18 years of age with known or suspected cirrhosis. Do not use in patients with overt GI bleeding or with history of acute variceal hemorrhage.

U/L
Ascites

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Advice

  • Not a substitute for an individual treatment plan developed by a clinician with personal knowledge of a specific patient. As such, it should not be used alone to determine a patient's medical treatment.

  • Screening endoscopy may be deferred when the EVendo score is ≤3.90, and instead patients may be monitored clinically, with reassessment of the EVendo Score at a future date (e.g. in 3-6 months).

  • If access to endoscopy is limited, patients with EVendo scores >3.90 should be prioritized to undergo screening upper endoscopy over patients with lower EVendo scores.